Working With 'Difficult' Clients: Motivational Interviewing Alone Added Nothing (SMD −0.01), but Behavioural Goals, Self-Monitoring, Feedback and Autonomy Support Explained the Results at a Year

Sep 25

4 min read

Every coach has a client who nods, agrees, and then does none of it. The usual verdict is that the client is difficult. The research on weight-management coaching asks a more useful question: which things a coach does actually change what a client does over a year, and which are just style? The answer is more specific than "be motivating", and one of the most popular methods comes out looking weaker than its reputation.

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